Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

POLARIS DENTAL CARE DUBLIN, IRFAN KHAN DDS, LLC

NPI: 1134754161 · DUBLIN, OH 43017 · General Practice Dentistry · NPI assigned 03/10/2020

$37K
Total Medicaid Paid
2,237
Total Claims
2,152
Beneficiaries
8
Codes Billed
2020-08
First Month
2022-04
Last Month

Provider Details

Authorized OfficialKHAN, IRFAN (OWNER)
NPI Enumeration Date03/10/2020

Related Entities

Other providers sharing the same authorized official: KHAN, IRFAN

ProviderCityStateTotal Paid
GREENWAY ENDOCRINOLOGY, PA GREENBELT MD $83K
SOUTH VIENNA FAMILY DENTAL SOUTH VIENNA OH $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 383 $6K
2021 1,343 $22K
2022 511 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 378 374 $10K
D0274 Bitewings - four radiographic images 381 377 $7K
D1110 Prophylaxis - adult 161 158 $5K
D0330 Panoramic radiographic image 113 111 $5K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 78 45 $4K
D0220 Intraoral - periapical first radiographic image 553 532 $3K
D0230 Intraoral - periapical each additional radiographic image 530 516 $2K
D0140 Limited oral evaluation - problem focused 43 39 $970.94